What is Lisa Broadous's NPI number?

The NPI number assigned to this healthcare provider is 1114140696, enumerated as a individual on April 11, 2007.

Where is the provider located?

The provider is located at 2330 NE SISKIYOU ST PORTLAND, OR 97212 and the phone number is (503) 528-0757.

What is the provider's specialty?

The provider's specialty is Adult Companion with taxonomy code 372600000X.

MRS. LISA DENISE BROADOUS - NPI 1114140696 - Adult Companion in Portland, OR

On this page

About Mrs. Lisa Denise Broadous NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA DENISE BROADOUS (NPI 1114140696) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1114140696

Entity TypeIndividualFemale

Primary Taxonomy372600000X

Provider Legal NameMRS. LISA DENISE BROADOUS

Location Address2330 NE SISKIYOU STPortland, OR 97212-2471

Mailing Address6903 N Albina AvePortland, OR 97217-1603 · (503) 415-1892

Phone(503) 528-0757

Sole ProprietorYes

Enumeration DateApril 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114140696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers

Taxonomy Code372600000X

Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

2330 NE SISKIYOU ST, Portland, OR 97212

Open in Google Maps ↗